Premium
Tubal ligation at cesarean delivery in five Asian centers: a comparison with tubal ligation soon after vaginal delivery
Author(s) -
Chi Ic.,
Wilkens L.R.,
Gates D.,
Lamptey P.,
Petrick T.
Publication year - 1989
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(89)90413-x
Subject(s) - tubal ligation , medicine , ligation , sterilization (economics) , cesarean delivery , obstetrics , gynecology , vaginal delivery , surgery , family planning , pregnancy , population , research methodology , environmental health , biology , monetary economics , economics , foreign exchange market , genetics , foreign exchange
Abstract Increasingly more tubal sterilizations are being performed at the time of cesarean section in the United States and probably also in developing countries. This descriptive study provides us with hitherto unavailable information on the impact of this combined procedure on the women undergoing it. Five Asian centers were included for study. In these centers, 618 women had concurrent tubal ligation at cesarean section in 1973 and 1974. During this period, 3399 women had tubal ligation soon after term vaginal deliveries. The much higher morbidity and mortality in the former group were judged to be attributable to the indications leading to, or the complications of, cesarean section and not to the concurrent tubal ligation. Women undergoing the combined procedure of tubal ligation and cesarean section were more likely to have characteristics associated with later regretting the sterilization.